作者: Masafumi SHIRAHAMA , Shizuko TEGOSHI , Jun SUGIHARA , Kohei NAGASAWA , Yoshiyuki NIHO
DOI: 10.2169/INTERNALMEDICINE1962.28.207
关键词:
摘要: A 66-year-old woman with rheumatoid arthritis experienced severe hyponatremia and hypoglycemia of repeated occurrence. Endocrinologic examinations revealed hypopituitarism the metrizamide computerized tomographic scan showed a primary empty sella. No evidence pituitary or suprasellar tumor was obtained. During 5-year follow-up, she remains well under replacement therapy there are no signs an intracranial tumor. The possibility autoimmune mechanism linked to development is discussed.